Individual provider Active NPI

Kathryn Suzanne Hoffman, RDN, LD

  • Registered Dietitian
  • Lees Summit, MO
National Provider Identifier
1528549367
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
2017036207 Issued in MO
Practice address
3720 NE Troon Dr
Lees Summit, MO 64064-1988
Phone
(515) 537-4916
NPI assigned
Aug 28, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X 2058 KS
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X 2017036207 MO Primary

Addresses

Primary practice location

3720 NE Troon Dr
Lees Summit, MO 64064-1988

Mailing address

12832 Saint Andrews Dr
Kansas City, MO 64145-1230
Phone (515) 537-4916

Other practice location 1

10520 Barkley St Ste 140
Overland Park, KS 66212-1823
Phone (515) 537-4916

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
2017036207MOMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Wearmouth Wellness LLC Dietitian, Registered CurrentSince Nov 26, 2023 Accepting new patients

Locations

10520 Barkley St
Ste 140
Overland Park, KS 66212
Phone (816) 679-6149

3720 NE Troon Dr
Lees Summit, MO 64064
Phone (816) 508-5934

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1535414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1528549367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12832 SAINT ANDREWS DR",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641451230",
            "telephone_number": "515-537-4916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3720 NE TROON DR",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640641988",
            "telephone_number": "515-537-4916"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10520 Barkley St Ste 140",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662121823",
            "country_code": "US",
            "telephone_number": "515-537-4916",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOFFMAN",
        "first_name": "KATHRYN",
        "middle_name": "SUZANNE",
        "credential": "RDN, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-28",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "KS",
            "license": "2058",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "MO",
            "license": "2017036207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lees Summit, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.